黄斑裂孔手术后视网膜脱离的自发缓解。
Spontaneous resolution of retinal detachment occurring after macular hole surgery.
作者信息
Akduman L, Del Priore L V, Kaplan H J
机构信息
Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110-1096, USA.
出版信息
Arch Ophthalmol. 1998 Apr;116(4):465-7. doi: 10.1001/archopht.116.4.465.
OBJECTIVE
To document the spontaneous resolution of retinal detachment developing after macular hole surgery.
METHODS
We identified all patients who developed a postoperative retinal detachment after undergoing macular hole surgery at Washington University School of Medicine, St Louis, Mo; the surgery was performed by one of us (L.V.D.P. or H.J.K.) between 1991 and 1996.
RESULTS
Six of 73 eyes developed a postoperative retinal detachment; the retinal detachment was inferior in all cases. Two eyes that had inferior retinal breaks underwent further surgery to repair the retinal detachment. Retinal breaks could not be identified in the other 4 eyes; the retinal detachment resolved without further surgery in all 4 of these eyes.
CONCLUSION
The recognition that retinal detachment occurring after macular hole surgery can resolve without additional surgery may result in the avoidance of further surgical intervention in some eyes.
目的
记录黄斑裂孔手术后发生的视网膜脱离的自然转归情况。
方法
我们确定了在密苏里州圣路易斯市华盛顿大学医学院接受黄斑裂孔手术后发生术后视网膜脱离的所有患者；手术由我们其中一人（L.V.D.P.或H.J.K.）于1991年至1996年间进行。
结果
73只眼中有6只发生了术后视网膜脱离；所有病例的视网膜脱离均位于下方。2只存在下方视网膜裂孔的眼睛接受了进一步手术以修复视网膜脱离。在另外4只眼中未发现视网膜裂孔；这4只眼中的视网膜脱离均未进行进一步手术而自行消退。
结论
认识到黄斑裂孔手术后发生的视网膜脱离可无需额外手术而自行消退，这可能会避免对某些眼睛进行进一步的手术干预。
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